Journal
TOPICS IN STROKE REHABILITATION
Volume 15, Issue 5, Pages 412-426Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1310/tsr1505-412
Keywords
electrical stimulation; motor function; stroke
Categories
Funding
- NICHD NIH HHS [R01HD044816, K24HD054600, R01HD49777] Funding Source: Medline
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Clinical applications of neuromuscular electrical stimulation (NMES) in stroke rehabilitation provide both therapeutic and functional benefits. Therapeutic applications include upper and lower limb motor relearning and reduction of poststroke shoulder pain. There is growing evidence that NMES, especially those approaches that incorporate task-specific strategies, is effective in facilitating upper and lower limb motor relearning. There is also strong evidence that NMES reduces poststroke shoulder subluxation and pain. Functional applications include upper and lower limb neuroprostheses. Lower limb neuroprostheses in the form of peroneal nerve stimulators is effective in enhancing the gait speed of stroke survivors with foot-drop. The development of hand neuroprostheses is in its infancy and must await additional fundamental and technical advances before reaching clinical viability. The limitations of available systems and future developments are discussed.
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